Forms Catalog Document - RI30-10 :-: OPM :-: Disabled Dependent Questionnaire

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Disabled Dependent Questionnaire

This form collects sufficient information about the medical condition and earning capacity for OPM to determine whether a disabled adult child is eligible for health benefits coverage and/or survivor annuity payments under the Civil Service Retirement System or the Federal Employees Retirement System.

Form #: RI 30-10
Agency: Office of Personnel Management

	TYPE	PAGES	SIZE (KB)	CAPABILITY	WHAT'S NEEDED
	Form Only	2		[3] Fillable + Printable	Adobe Reader Download

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